HomeMy WebLinkAbout2561 NAVARRA DR; B; CB120401; Permit'• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
03-06-2012 . Permit No:CBI20401
Building Inspection Request Line (760) 602-2725
Job Address: 2561 NAVARRA DR CBAD St: B
Permit Type: PME - Status: ISSUED
Parcel No: 2162002731 Lot #: 0 Applied: 03/06/2012
Entered By: RMA
Reference #: Plan Approved: 03/06/2012
PC #: Issued: 03/06/2012
Project Title: MARVEL RES- REPLACE FAU Inspect Area:
SAME LOCATION
Applicant: Owner-
C" ARVEL ASI ((-AkCHILE M
1250 GREENFIELD DR 2561
' EL CAJON, CA 92167 / CARLSBADCA 92009
619-223-9016 ('760 845-1908
Plumbing Fees / / $0.00
Electrical Fees / / \ $0.00
Mechanical Fees / / \ $150.00
Other PME Fees
.
7 $0.00'
TOTAL PERMIT FEES/ / $15000
L •Y4' I'
Total Fees: $150.00 TotalPayrn'entsiiTo Date: I $150.04 Balance Due: J $0.00
6' INCORPORATED
1952
'FlNALAPPROVAL
Inspector: -.
' ' Date: .5'-/'iL Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of tees, dedications, reservations, or other exactions hereafter collectively
referred to as feesfexactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, 'you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF
Building Permit Application Plan Check No
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717/2718/2719 l___ l_
Fax 760-602-8558 CARLSBAD Flail ipUSR - -
www.carlsbadca.gov (?
JOB ADDRESS
j25UA JcUctry—oSr-- '
SL,lTEa/SPxCEa/uriiT, I I 1
CT/PROJECT I LOT a PHASE N a OF UNITS 1 .4 BEORCOMS I x 6A NROCMS J TENANT BUSINESS NAME CONSTR. I'YPE I CCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
'-g1p1 CQ -5
EXISTING USE (SF) PATIOS (SF) DECKS (SF)IFIREPLACE AIR CONDITIONINGIFIRESPRINKLERS PROPOSED USE 1GARAGE
YES# NCE J YES DNO D YESD NOD
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME..__. f% qxw ADDRESS ADDRESS 247D i i twr-icL CITY STATE ZIP C STATE ZIP
PHONE FAX FAX P
Wq~, EMAIL
PROPERTY OWNER NAME v"v\& now CONTRACTOR BUS. NAME131 (..1'i s' ADDRESS 0DRE5S 2 M I2 k) J&yr-c¼ Uk- 'P 0 V ti AIAQ CITY STATE ZIP -'
- o g Ci STATE ZIP a PHONE FAX O-qô (FAX
EMAIL -EMAIL If
ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE LIC.a CLASS ( I () I cir BUS. LIC.0
- - - I c cL' i'it',c 2c']
(Sec. 70 1, Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuancra'btio requiresthe applicant for Such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractors License (.aw (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($ 500)).
Workers' Compensation Declaration: lhereby affirm under penalty of peiju,y one of the following declarations: E l have and will maintain a certificate of consent to self-insure tar workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and -sill maintain Wa 'come n atlon. required a Section 3700 of the Labor Code. for the performance of di ' r which this nermil is issued. My workers' compensation Insure n canter a olicy
number am: insurance Co I1\e eLV15(policyNo. (pJL? 1C)'t(' 1% Expiration Date tori Tt_
Thi section need not be completed if the permit is for one hundred dollars ($100) or less.
n
Certificate of Exemption: I certify, that in the performance of the work Icr which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to seculle workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&I00,000), in addition to the cost of compensation, ages s p ded for in Section 3706 of the L=y's fees.
CONTRACTOR SIGNATURE j}NF DATE 5 1
I hereby affirm that fare exempt titni ConlIacto(s License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensar n, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered (or sale. If, however, the building or Improvement is sold within one year of completion, lire owner-builder will have the burden of proving that he did not build or improve Tot the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors 10 construct the project (Sec. 7044, Business and Professions Code: The Conrracoro License Law does not apply to an owner of property who builds or improves rirereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors License Law).
tam exempt under Section Business and Professions Code for this reason:
I I Personally plan to provide he major labor and materials for construction of the proposed property improvement. DYes DNO
I (have / have not) signed an application for a building permit for lire proposed work.
I have contracted with the following person (limo) to provide tire proposed construction (include name address! phone! contractors' license number):
I plan to provide pardons of the work, butt have hired the following person to coordinate, supervise and provide the major work (include name! address I phone (contractors' license number):
I will provide some of the work, butt hye contracted (hired) the following persons to provide llr,raok indicated (include, name'address (phoned type of work):
£PROPERTY OWNER SIGNATURE " f jLdl2'—L'._..4 -k.,")" - fG€T DATE
Is the applicant or future building occupant required to submit a business tan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ] Yes No Is the applicant or Mum building occupant required to obtain a permit from the air pollution control district or air r.uality management district? DYes DNa Is the facility lobe constructed within 1,000 feet of the outer bounder/ of a school site? Dyes ONo _______________________________ IF-ANY-OF-THE-ANSWERS-ARE-YESAFINAI-CERTIFICATEOFOCCUPANCYMAYNOT8EISSUEDUNLESSTHEAPplJCt HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
I certifythati have read the applicatianandstatethattheaboveinformatoniscorneandthttheinthnnationonthepIansisaccurate. I aee to complywtth all City ordirancesand State laws relatingtobuildingconsbiion.
Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit isrequired for excavations overdeeo and demolition or construction of structures over 3stories in height
EXPIRATION: Every permit issued by the Building Official under the piovisions of this Code shall expire by fimfiation and become null and void ifthe building or work authorized by such permit is not commenced within 180 days hum the date of such permit oif the building or work authorized by such permit is spended or abandoned at any time after the worlds commenced fcra period of 180 days (Section 106.4.4 Uniform Building Code).
..APPLICANT'S SIGNATURE f jcs.. ,/% DATE ci i .-
(
5
MiD)z
City of Carlsbad Bldg Inspection Request
For: 05/11/2012
Perrnit# CB120401 - Inspector Assignment:
Title: MARVEL RES- REPLACE FAU
Description: SAME LOCATION
Type: PME Sub Type: -
- Phone: 7608451808
Job Address: 2561 NAVARRA DR
Suite: B Lot 0 1.
Location: : •.
•
Inspector: •/, •:
OWNER ARCHIEMARVEL- • - ••
Owner: • • .• • I
Remarks: • • - •
Total Time: • -
Requested By: ARCHIE :
- • Entered By: CF
CD Description
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Act Comments
25 Water HeaterNents - 19' •
n't
• Comments/Notices/Holds •
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Associated PCRs/CVs/SWPPPs' Original PC# • • • - •
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InsDèction History - -
Date Description Act Insp Comments • •
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